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In Plans That Require the Primary Care Physician (PCP) to Play

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Short Answer

In plans that require the primary care physician (PCP) to play a gatekeeper role, the PCP is given incentives to:
A)expand office hours and/or staff to permit more patients to be seen each day.
B)make frequent referrals to contracted network specialists.
C)see as many patients each day as possible, even if this means less time with each patient.
D)treat the patient as much as possible and not refer him/her to a specialist unless absolutely necessary.


Definitions:

Double-lumen Catheter

A catheter with two separate channels, allowing for simultaneous infusion and withdrawal of fluids or medications.

Abdominal Surgery

Surgical procedures performed on organs or structures within the abdominal cavity, which can include operations on the stomach, liver, gallbladder, pancreas, intestines, and reproductive organs.

Foley Catheter

A flexible tube inserted into the bladder to drain urine, commonly used in medical settings.

Incontinence

The involuntary loss of bladder or bowel control, leading to unintentional release of urine or feces.

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